What are the responsibilities and job description for the Patient Navigator; 8:30AM -5PM; 80 Hours position at Bothwell Regional Health Center?
JOB TITLE: Patient Navigator
JOB CODE: 6430
JOB HOURS: 8:30 AM to 5:00 PM M-F
JOB SUMMARY:
The Patient Navigator is responsible for working with patient to schedule their appointment, understand their financial obligation and set up arrangements before tests are performed.
The Patient Navigator reports directly to the Director of Patient Services.
QUALIFICATIONS:
1. Education:
a) High School graduate with related subjects in general business.
b) Computer knowledge
c) Medical terminology.
d) Great customer service skills.
2. Licensure/Certification:
a) N/A
3. Work Experience:
a) General office experience preferably with insurance claims knowledge.
b) Ability to operate various office machines.
c) Be able to work independently and make reasonable decisions while maintaining confidentiality.
RESPONSIBILITIES/JOB DUTIES:
1. Works daily ARM work list for scheduled appointments for hospital ancillary services.
2. Runs eligibility and Provides patient with estimates of cost of service and self-pay quotes through IPAS or other means.
3. Reviews each department’s schedule and obtains authorization if required, add authorization number and notate in Meditech ARM module. If any additional information is needed before the test will be notated on the account or in scheduling?
4. Review account for all possible source of payment including Medicaid.
5. Assist the patient with payment arrangements and/or financial assistance application.
6. Registers all patients with verification of patient and insurance information.
7. Utilizes insurance verification equipment, fax machine, PC software, DCS Global IPAS, phone contact and WELL App.
8. Responds to telephone; route calls and take accurate messages.
9. Maintain worklist & scheduling daily.
10. Always provide the best customer service possible. Ask questions as needed.
11. Other duties as assigned.
REQUIRED STAFF COMPETENCIES:
1. Demonstrates support for organizational and departmental mission.
2. Supports and demonstrates knowledge of the Strategic Plan and the Hospital Key Initiatives.
3. Fosters and promotes teamwork within department and the organization as a whole.
4. Works to resolves conflicts constructively and in a timely manner.
5. Ability to communicate effectively and simply with every customer and co-worker.
6. Ability to display a positive, courteous and friendly attitude toward all contacts.
7. Ability to build good relationships with others based upon a sustained effort of
mutual support toward common goals.
8. Ability to exercise good judgment, reasoning and concentration to detail and to
take personal accountabilities for all actions in carrying out job duties.
9. Is customer focused and committed to Quality and Process Improvement with a
strong desire to provide service excellence.
10. Possesses and displays a strong knowledge and understanding of the standards of
practice for their position including, if and when applicable, commensurate computer skills; population specific and general competencies; organizational skills, time and project management.
11. Possesses a vigorous and enthusiastic desire to learn and to grow both personally
and professionally, and to improve one's skills in order to deliver the best possible care for our customers.
WORKING CONDITIONS
1. General office setting. No exposure to extremes in temperature, lighting or noise.
2. Requires prolonged sitting.
3. Requires frequent keyboarding.
4. Significant time spent looking at computer monitor.
JOB CODE: 6430
JOB HOURS: 8:30 AM to 5:00 PM M-F
JOB SUMMARY:
The Patient Navigator is responsible for working with patient to schedule their appointment, understand their financial obligation and set up arrangements before tests are performed.
The Patient Navigator reports directly to the Director of Patient Services.
QUALIFICATIONS:
1. Education:
a) High School graduate with related subjects in general business.
b) Computer knowledge
c) Medical terminology.
d) Great customer service skills.
2. Licensure/Certification:
a) N/A
3. Work Experience:
a) General office experience preferably with insurance claims knowledge.
b) Ability to operate various office machines.
c) Be able to work independently and make reasonable decisions while maintaining confidentiality.
RESPONSIBILITIES/JOB DUTIES:
1. Works daily ARM work list for scheduled appointments for hospital ancillary services.
2. Runs eligibility and Provides patient with estimates of cost of service and self-pay quotes through IPAS or other means.
3. Reviews each department’s schedule and obtains authorization if required, add authorization number and notate in Meditech ARM module. If any additional information is needed before the test will be notated on the account or in scheduling?
4. Review account for all possible source of payment including Medicaid.
5. Assist the patient with payment arrangements and/or financial assistance application.
6. Registers all patients with verification of patient and insurance information.
7. Utilizes insurance verification equipment, fax machine, PC software, DCS Global IPAS, phone contact and WELL App.
8. Responds to telephone; route calls and take accurate messages.
9. Maintain worklist & scheduling daily.
10. Always provide the best customer service possible. Ask questions as needed.
11. Other duties as assigned.
REQUIRED STAFF COMPETENCIES:
1. Demonstrates support for organizational and departmental mission.
2. Supports and demonstrates knowledge of the Strategic Plan and the Hospital Key Initiatives.
3. Fosters and promotes teamwork within department and the organization as a whole.
4. Works to resolves conflicts constructively and in a timely manner.
5. Ability to communicate effectively and simply with every customer and co-worker.
6. Ability to display a positive, courteous and friendly attitude toward all contacts.
7. Ability to build good relationships with others based upon a sustained effort of
mutual support toward common goals.
8. Ability to exercise good judgment, reasoning and concentration to detail and to
take personal accountabilities for all actions in carrying out job duties.
9. Is customer focused and committed to Quality and Process Improvement with a
strong desire to provide service excellence.
10. Possesses and displays a strong knowledge and understanding of the standards of
practice for their position including, if and when applicable, commensurate computer skills; population specific and general competencies; organizational skills, time and project management.
11. Possesses a vigorous and enthusiastic desire to learn and to grow both personally
and professionally, and to improve one's skills in order to deliver the best possible care for our customers.
WORKING CONDITIONS
1. General office setting. No exposure to extremes in temperature, lighting or noise.
2. Requires prolonged sitting.
3. Requires frequent keyboarding.
4. Significant time spent looking at computer monitor.
